Organization
ALL STAR FOOT CARE
Active
Other names
All Star Foot Care
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GAULIN NP (NURSE PRACTITIONER, OWNER)
(207) 478-3132
Entity
Organization
Contact information
Practice address
71 HALIFAX ST, WINSLOW, ME 04901-6930
(207) 405-2510
(207) 481-9076
Mailing address
71 HALIFAX ST, WINSLOW, ME 04901-6930
(207) 405-2510
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP1100X
Podiatric Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1241240001
—
ME
Enumeration date
03/07/2024
Last updated
07/15/2025
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